Individual
MRS. KYLIE D'HOOSTELAERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3202 NW ALBERTA ST, BENTONVILLE, AR 72712-8430
(864) 884-6168
Mailing address
3202 NW ALBERTA ST, BENTONVILLE, AR 72712-8430
(864) 884-6168
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
12285
AR
Other
Enumeration date
09/18/2020
Last updated
10/05/2020
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